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Survey about charge cards, chocolate, dvd players, cacoa, hair and coffeine.

Begin Survey

1. Have you ever taken dance lessons? Yes No

2. Do you believe in destiny or fate? Yes No

3. Will you visit a therapist or psychiatrist this week? Yes No

4. Do you use online banking? Yes No

5. Do you subscribe to your local newspaper? Yes No

6. Do you like chocolate? Yes No

7. Do you eat breakfast every morning? Yes No

8. Do you have a DVD player? Yes No

9. Do you attend regular religious services? Yes No

10. Do you ever dye your hair? Yes No

11. Do you use charge cards? Yes No

12. Do you get between 7 to 10 hours of sleep each night? Yes No

13. Do you enjoy cat-naps? Yes No

14. Do you enjoy reading non-fiction books for pleasure? Yes No

15. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

16. Would you like a free video or CD-ROM with more information on owning or renting an RV? Yes No

Your Firstname:

Your Emailaddress:

Yes, I would like to join the Daily Life Survey!

Fun and Interesting facts: - Jimmy Carter is the first U.S. President to have been born in a hospital. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - Both carrots and ketchup were once considered to have medicinal value. - The first lighthouse to use electricity was the Statue of Liberty in 1886.

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